Mobilising access to maternal health services in Zambia programme: Key results and their implications. MAMaZ 

Authors: Health Partners International
Document Type: Policy and technical briefs
Publication Date: 2013

This technical brief provides an overview of the approach used by and key results of the UK aid funded Mobilising Access to Maternal Health Services in Zambia (MAMaZ) programme. Implemented between 2010-2013, the programme was set up to develop, assess and validate implementation models that promoted appropriate maternal and newborn health-seeking behaviour in poor rural communities in six districts. Two intervention models were tested: a comprehensive community engagement approach, and a lighter-touch approach, which required a less resource intensive investment. Over the programme’s lifetime skilled delivery rates increased from 43% to 70%; use of modern contraception increased from 21% to 33%; and the proportion of pregnant women who knew to attend antenatal care in the first trimester increased from 47% to 71%. In-depth comparison of the achievements in the comprehensive and light sites found that despite some good outputs there were signs in the light sites that results achieved were unlikely to be sustained over time. The opposite was true in the comprehensive sites. The technical brief summarizes key lessons learned and draws out implications for policy makers in Zambia and elsewhere who are considering intervening on the demand-side to improve maternal and newborn health.

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Tags: Zambia, MAMaZ, Scaling up, Newborn health, Maternal health, Skilled delivery, Community engagement, Child health, Access to health services,